Also found in: Dictionary, Thesaurus, Encyclopedia, Wikipedia.
Related to ergometrine: Carboprost, Syntometrine, Syntocinon


(er-goe-noe-veen) ,


(trade name),


(trade name)


Therapeutic: none assigned
Pharmacologic: oxytocics
Pregnancy Category: UK


Prevention and treatment of postpartum or postabortion hemorrhage caused by uterine atony or involution.


Directly stimulates uterine and vascular smooth muscle.

Therapeutic effects

Uterine contraction.


Absorption: Well absorbed after oral administration.
Distribution: Unknown.
Metabolism and Excretion: Unknown. Probably metabolized by the liver.
Half-life: Unknown.

Time/action profile (uterine contractions)

PO5–15 minunknown≥3 hr


Contraindicated in: Hypersensitivity; Avoid chronic use; Should not be used to induce labor.
Use Cautiously in: Hypertensive or eclamptic patients (increased susceptibility to hypertensive and arrhythmogenic side effects); Severe hepatic or renal disease; Sepsis; Third stage of labor.

Adverse Reactions/Side Effects

Central nervous system

  • dizziness
  • headache

Ear, Eye, Nose, Throat

  • tinnitus


  • dyspnea


  • arrhythmias
  • chest pain
  • hypertension
  • palpitations


  • nausea (most frequent)
  • vomiting (most frequent)


  • sweating


  • allergic reactions


Drug-Drug interaction

Excessive vasoconstriction may result when used with other vasopressors, such as dopamine or nicotine.May ↑ the risk of adverse reactions with bromocriptine.



Oral Sublingual (Adults) 0.2–0.4 mg q 6–12 hr (usual course is 48 hr).
Intramuscular Intravenous (Adults) 200 mcg (0.2 mg) q 2–4 hr for up to 5 doses.

Availability (generic available)

Tablets: 0.2 mg
Injection: 0.25 mg/mL

Nursing implications

Nursing assessment

  • Monitor BP, pulse, and respirations every 15–30 min until transfer to the postpartum unit, then every 1–2 hr. Report hypertension, chest pain, arrhythmias, headache, or change in neurologic status.
  • Monitor amount and type of vaginal discharge. Report symptoms of hemorrhage (increased bleeding, hypotension, pallor, tachycardia) immediately.
  • Palpate uterine fundus; note position and consistency. Notify health care professional if fundus fails to contract in response to ergonovine. Assess patient if cramping is severe; dose may be decreased.
  • Assess for signs of ergotism (cold, numb fingers and toes; nausea; vomiting; diarrhea; headache; muscle pain; weakness).
  • If patient fails to respond to ergonovine, check serum calcium level. Correction of hypocalcemia may restore responsiveness.
  • Lab Test Considerations: May cause ↓ serum prolactin level, which inhibits synthesis of breast milk.
  • Toxicity, initially manifested as ergotism, may cause seizures and gangrene. Seizures are treated with anticonvulsants. Vasodilators and heparin may be ordered to improve circulation to extremities.

Potential Nursing Diagnoses

Ineffective tissue perfusion (Indications)
Risk for injury (Side Effects)


  • Do not administer solution that is discolored or contains a precipitate.
  • Oral: Administration is usually limited to 48 hr postpartum, by which time the danger of hemorrhage from uterine atony has passed.
    • Tablets may be administered SL.
  • Intramuscular: The preferred route is IM. Firm uterine contractions are produced within a few minutes. Dose may need to be repeated every 2–4 hr for full therapeutic effect.
  • Intravenous Administration
  • pH: 2.7–3.5.
  • The IV route is reserved for severe uterine bleeding. Diluent: Dilute with 5 mL of 0.9% NaCl.
  • Rate: Administer slow IV push over at least 1 min through Y-site injection of an IV of D5W or 0.9% NaCl.

Patient/Family Teaching

  • Review symptoms of toxicity with patient. Instruct the patient to report occurrence of these immediately.
  • Inform patient that uterine cramping demonstrates effectiveness of therapy.
  • Explain need for pad count to determine degree of bleeding. Instruct patient to report immediately an increase in degree of bleeding or passage of clots.
  • Instruct patient to report breastfeeding difficulties.
  • Caution patient not to smoke while receiving ergonovine; nicotine is also a vasoconstrictor.

Evaluation/Desired Outcomes

  • Uterine contraction and cramping in the prevention or cessation of uterine hemorrhage after delivery or abortion.


An alkaloid from ergot; on hydrolysis it yields d-lysergic acid and l-2-aminopropanol; stimulates uterine contractions.


An ERGOT derivative drug used to promote contractions of the muscle of the womb (uterus). This can be valuable, after the baby is born, to close off the site of separation of the after-birth (placenta) and prevent POSTPARTUM HAEMORRHAGE. It is sometimes given when delivery of the baby is almost accomplished. The drug is on the WHO official list. A brand name is Syntometrine.


References in periodicals archive ?
She continued to bleed on and off and after 10 minutes intravenous ergometrine 0.
25mg intramuscular ergometrine in the prevention of atonic uterine haemorrhage during caesarean section.
1994) recorded that ergometrine injection upto 12 hrs postpartum in cows reduced Retention of fetal membrane (RFM), reduced incidence of endometritis and improved reproductive efficiency.
For decades, oxytocin and ergometrine have been the treatments of choice for PPH, but both drugs can be given only by injection and require refrigeration.
Despite the use of several uterotonic agents such as syntocinon, ergometrine and misoprostol, bleeding continued.
In that series, women who developed postpartum hemorrhage were treated first with uterotonics, including oxytocin, ergometrine, and carboprost.
Ergometrine was given and she suffered an eclamptic seizure shortly after.
The Czech Republic is a producer of ergometrine and ergotamine used for the production of LSD.
Controlled substances include Pseudoephedrine, Ergometrine and others listed in an annex to the legislation.
Tenders are invited for Inj Methyl Ergometrine 1 Ml
If an intravenous infusion cannot be maintained, intramuscular syntometrine or ergometrine can be given postoperatively, provided there are no contraindications.
A study by Ghazala et al on postpartum hemorrhage prophylaxis by syntocinon or ergometrine reported transfusion in 2% of patients.